Payer selection
We help you choose payers based on your location, specialty and the plans your patients actually carry.
Home / Credentialing / Insurance Credentialing
Get in network with the insurance companies your patients carry. We handle your CAQH profile, every payer application and the follow-up until your contracts are active.
Insurance credentialing is the process of being approved by a payer to treat its members and be paid as an in-network provider. Until it is complete, insured patients either pay out of network or go elsewhere.
Credentialing is slow mainly because applications sit incomplete or unanswered. We submit complete applications, check status on a fixed schedule and respond to every payer request the same week, which is what keeps timelines short.
We help you choose payers based on your location, specialty and the plans your patients actually carry.
Your CAQH profile completed, documents uploaded, attested and authorized for each payer.
Commercial, Medicare and Medicaid applications completed and submitted, including group and individual enrollments.
Status checks on every application until approval, with payer requests answered quickly.
Contracts and fee schedules checked before you sign, with effective dates confirmed.
A live status sheet showing every payer, its stage and the next action.
Price
$150 per payer
Paid before work starts, because it covers costs we incur. How payment works
New practices, providers joining a practice, and practices adding payers or locations. Physicians, NPs, PAs, therapists and allied health providers of every specialty.
We agree on which payers to apply to, in which order, based on your patients and location.
One checklist for licenses, malpractice, board certification and work history.
We submit, then call and check portals until each payer decides.
We confirm effective dates and fee schedules so billing can start cleanly.
Insurance Credentialing is available on its own, and it is also included in Practice Startup Assistance and Provider Enrollment and Patient Acquisition Program and Precision Claim Management. See all packages on our pricing page.
We work with practices of every specialty. These pages explain what is different about yours:
See every specialty and provider type →
It depends on the payer. Many finish in 30 to 60 days and some commercial plans take 90 days or more. We give you a payer-by-payer estimate up front and start the slowest ones first.
$150 per payer application, paid upfront because it covers work we do before the payer decides. Credentialing is also included in our Patient Acquisition Program and Precision Claim Management package.
Not always. Some commercial networks close panels in certain areas or specialties. We tell you early when a panel looks closed and look for ways in, such as group contracts or plan-specific openings.
Book a free 30-minute consultation. We'll review your practice and tell you where to start.